Joint Program in Nuclear Medicine

Findings, case of Low Back Pain with Elevated Gastrin

Imaging Findings

The abdominal CT scan from three years prior to presentation revealed two masses involving the head and the neck of the pancreas and multiple liver metastases.

Bone scintigraphy done to evaluate persisting low back pain showed multiple focal lesions. Lumbar spine X-rays (AP, Lat, and spot view of L5-S1), show sclerosis of the L5 vertebral body corresponding to one of the intense lesions on bone scintigraphy. The iliac lesion seen on the bone scan was biopsied and revealed a histology compatible with the primary pancreatic tumor.

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J. Anthony Parker, MD PhD, Tony_Parker@bidmc.harvard.edu